| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,288.25 | $301,995.17 | $301,995.17 | |
Medica
| Professional | $758.58 | $3,467.37 | $3,467.37 | |
United
| Facility | $6,165.95 | $6,165.95 | $30,199.52 | |
United
| Professional | $467.74 | $616.60 | $812.83 |